This manuscript documents one woman's experience of mental health recovery using a case study approach. Specifically, qualitative data collected through a semi-structured interview were triangulated with the medical record to understand more about how this woman experienced a transition from a period of her life marked by severe psychological and emotional impairment to an extended period of time during which she was thriving and did not experience symptoms consistent with her former... Show moreThis manuscript documents one woman's experience of mental health recovery using a case study approach. Specifically, qualitative data collected through a semi-structured interview were triangulated with the medical record to understand more about how this woman experienced a transition from a period of her life marked by severe psychological and emotional impairment to an extended period of time during which she was thriving and did not experience symptoms consistent with her former diagnosis of Severe Mental Illness. This case study offers important implications regarding the importance of trauma-informed care in the field of mental health. Show less

Date Issued

2014

Identifier

FSU_migr_csw_faculty_publications-0045

Format

Citation

Title

Challenging the Narrative of Chemical Imbalance: A Look at the Evidence.

Creator

Lacasse, Jeffrey R., Leo, Jonathan

Date Issued

2015

Identifier

FSU_migr_csw_faculty_publications-0079

Format

Citation

Title

A Clarification Regarding Truthiness in Advertising.

Creator

Leo, Jonathan, Lacasse, Jeffrey R.

Abstract/Description

We would like to clarify one statement in Dr. Frosch's reply (1), in which he states that the accuracy of advertisements awaits further investigation. Regarding Zoloft advertisements, as we pointed out in our letter, they have already been investigated. In our study, we compared statements in these advertisements to the scientific literature and found a substantial disconnect between the two (2), an unchallenged finding echoed throughout the scientific literature. The issue is best summarized... Show moreWe would like to clarify one statement in Dr. Frosch's reply (1), in which he states that the accuracy of advertisements awaits further investigation. Regarding Zoloft advertisements, as we pointed out in our letter, they have already been investigated. In our study, we compared statements in these advertisements to the scientific literature and found a substantial disconnect between the two (2), an unchallenged finding echoed throughout the scientific literature. The issue is best summarized by NIMH researchers who stated, "[T]he demonstrated efficacy of selective serotonin reuptake inhibitors…cannot be used as primary evidence for serotonergic dysfunction in the pathophysiology of these disorders" (3). Other researchers have reached similar conclusion (4-6). The Irish Medical board specifically prohibits claims such as those made in the Zoloft advertisements based on the scientific data. Wayne Goodman, the chair of the FDA psychopharmacological advisory committee, recently stated that the serotonin theory of depression was a "useful metaphor." (7). Given these data, the fact that Frosch et al. categorize the unfounded claims of serotonergic dysfunction in social anxiety disorder as 'factual claims' without further analysis is problematic. It potentially infers that providing inaccurate factual claims is superior to making emotional appeals. Our recommendation was not that future research should study the veracity of consumer advertising, but that any content analysis of consumer advertising is quite incomplete without inclusion of the existing literature. References 1. Frosch, DL. Author reply. Annals of Family Medicine, 7 Feb 2007 2. Lacasse JR, Leo J (2005) Serotonin and depression: A disconnect between the advertisements and the scientific literature. PLoS Med 2:e392 DOI: 10.1371/journal.pmed.0020392 3. Murphy DL, Andrews AM, Wichems CH, Li Q, Tohda M, et al. (1998) Brain serotonin neurotransmission: An overview and update with emphasis on serotonin subsystem heterogeneity, multiple receptors, interactions with other neurotransmitter systems, and consequent implications for understanding the actions of serotonergic drugs. J Clin Psychiatry 59:4—12. 4. Delgado P, Moreno F (2000) Role of norepinephrine in depression. J Clin Psychiatry 61:5—11. 5. Healy, D. (1997) The antidepressant era. Cambridge, MA: Harvard. 6. Stahl SM (2000) Essential psychopharmacology: Neuroscientific basis and practical applications. Cambridge: Cambridge University Press. 7. Television adverts for antidepressants cause anxiety. New Scientist (12 November 2005). Available online at http://dtca.net/media/11.12.2005.htm. Show less

Date Issued

2007

Identifier

FSU_migr_csw_faculty_publications-0048

Format

Citation

Title

Clinical Social Work and the Biomedical Industrial Complex.

Creator

Gomory, Tomi, Wong, Stephen Emory, Cohen, David, Lacasse, Jeffrey R.

Abstract/Description

This article examines how the biomedical industrial complex has ensnared social work within a foreign conceptual and practice model that distracts clinical social workers from the special assistance that they can provide for people with mental distress and misbehavior. We discuss (1) social work's assimilation of psychiatric perspectives and practices during its pursuit of professional status, (2) the persistence of psychiatric hospitalization despite its coercive methods, high cost, and... Show moreThis article examines how the biomedical industrial complex has ensnared social work within a foreign conceptual and practice model that distracts clinical social workers from the special assistance that they can provide for people with mental distress and misbehavior. We discuss (1) social work's assimilation of psychiatric perspectives and practices during its pursuit of professional status, (2) the persistence of psychiatric hospitalization despite its coercive methods, high cost, and doubtful efficacy, (3) the increasing reliance on the Diagnostic and Statistical Manual of Mental Disorders despite its widely acknowledged scientific frailty, and (4) the questionable contributions of psychoactive drugs to clinical mental health outcomes and their vast profits for the pharmaceutical industry, using antipsychotic drugs as a case example. We review a number of promising social work interventions overshadowed by the biomedical approach. We urge social work and other helping professions to exercise intellectual independence from the reigning paternalistic drug‐centered biomedical ideology in mental health and to rededicate themselves to the supportive, educative, and problem‐solving methods unique to their disciplines. Show less

Date Issued

2011

Identifier

FSU_migr_csw_faculty_publications-0046

Format

Citation

Title

Clinical Trials of Therapy versus Medication: Even in a Tie, Medications Wins.

Creator

Leo, Jonathan, Lacasse, Jeffrey R.

Date Issued

2010

Identifier

FSU_migr_csw_faculty_publications-0065

Format

Citation

Title

Consumer Advertisements for Psychostimulants in the United States: A Long History of Misleading Promotion.

Creator

Lacasse, Jeffrey R., Leo, Jonathan

Date Issued

2009

Identifier

FSU_migr_csw_faculty_publications-0066

Format

Citation

Title

Consumer Advertising of Psychiatric Medications Biases the Public Against Nonpharmacological Treatment.

Creator

Lacasse, Jeffrey R.

Abstract/Description

In the United States, antidepressant medications are heavily promoted through direct-to consumer advertising, which is regulated by the Food and Drug Administration (FDA). Advertisements for selective serotonin reuptake inhibitors frequently contain information inconsistent with the scientific evidence on the treatment of depression with antidepressants. The information presented serves to promote the use of antidepressants by biasing the public against nonpharmacological treatment of... Show moreIn the United States, antidepressant medications are heavily promoted through direct-to consumer advertising, which is regulated by the Food and Drug Administration (FDA). Advertisements for selective serotonin reuptake inhibitors frequently contain information inconsistent with the scientific evidence on the treatment of depression with antidepressants. The information presented serves to promote the use of antidepressants by biasing the public against nonpharmacological treatment of depression. While the FDA enforces regulations requiring fair and balanced presentation when comparing one medication to another, there appears to be no action taken against pharmaceutical companies that distort scientific evidence in order to disparage nonmedical approaches to depression. Show less

Date Issued

2005

Identifier

FSU_migr_csw_faculty_publications-0064

Format

Citation

Title

Controversies in Psychiatry and DSM-5: The Relevance for Social Work.

Creator

Littrell, Jill, Lacasse, Jeffrey R.

Abstract/Description

his essay addresses recent controversies surrounding the forthcoming fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5—the first major revision of the DSM since 1994), as well as questions regarding the safety and efficacy of psychotropic medications discussed in the public domain. mental health professionals across a wide range of professions have signed a petition to the DSM-5 task Force protesting changes in the new edition, and critiques of psychiatric... Show morehis essay addresses recent controversies surrounding the forthcoming fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5—the first major revision of the DSM since 1994), as well as questions regarding the safety and efficacy of psychotropic medications discussed in the public domain. mental health professionals across a wide range of professions have signed a petition to the DSM-5 task Force protesting changes in the new edition, and critiques of psychiatric medications are increasingly disseminated in the media. these issues have particular relevance for children in foster care, who receive diagnoses and medication at high rates. the general public is increasingly exposed to information on these topics through the media; as advocates and clinicians, it is important that social work practitioners be informed regarding these issues. Show less

Date Issued

2012

Identifier

FSU_migr_csw_faculty_publications-0077, 10.1606/1044-3894.4236

Format

Citation

Title

The Controversy Over Antidepressant Drugs in an Era of Evidence-Based Practice.

Creator

Littrell, Jill, Lacasse, Jeffrey R.

Abstract/Description

Questions regarding the efficacy of antidepressant drugs has been a recent focus of attention in the national news both in print and in the television media. Many clients will have questions regarding what they can believe and how they can address mood problems. Social workers constitute a greater percentage of the mental health work force than any other profession. Thus, social workers will probably be asked by clients about these issues. This paper presents information on the efficacy of... Show moreQuestions regarding the efficacy of antidepressant drugs has been a recent focus of attention in the national news both in print and in the television media. Many clients will have questions regarding what they can believe and how they can address mood problems. Social workers constitute a greater percentage of the mental health work force than any other profession. Thus, social workers will probably be asked by clients about these issues. This paper presents information on the efficacy of antidepressants for both the short and long term. It covers adverse effects and withdrawal symptoms. Clients' self-determination should be honored. However, social workers can be of assistance in supplying facts relevant to decision making. Show less

Date Issued

2012

Identifier

FSU_migr_csw_faculty_publications-0059, 10.1080/15332985.2012.699444

Format

Citation

Title

CriticalThinkRx May Reduce Psychiatric Prescribing to Foster Youth: Results From an Intervention Trial.

Creator

Cohen, David, Lacasse, Jeffrey R., Duan, Rui, Senglemann, Inge

Abstract/Description

Objectives: To test the potential impact of a critical curriculum on psychiatric medications designed for child welfare workers. Method: In a quasiexperimental, longitudinal study, the monthly proportion of medicated foster children and the average number of prescriptions per medicated child at Agency 1 (669 clients) exposed to the CriticalThinkRx curriculum were compared to Agencies 2—9 (3,346 clients) in the same two-county service network. Data were collected during 6 months of... Show moreObjectives: To test the potential impact of a critical curriculum on psychiatric medications designed for child welfare workers. Method: In a quasiexperimental, longitudinal study, the monthly proportion of medicated foster children and the average number of prescriptions per medicated child at Agency 1 (669 clients) exposed to the CriticalThinkRx curriculum were compared to Agencies 2—9 (3,346 clients) in the same two-county service network. Data were collected during 6 months of preintervention, 1 month of intervention, and 9 months of postintervention. Practitioners were not informed of data collection. Results: During postintervention months 1—8, the proportion of medicated children declined from 17.5% to 11.0% at Agency 1, while the mean proportion rose slightly at Agencies 2—9, statistically significant effects. At 9 months, the proportion at Agency 1 rose again though not reaching preintervention level. Average numbers of prescriptions per child remained unchanged. Conclusion: Use of CriticalThinkRx may reduce psychiatric prescribing in foster care. Show less

Date Issued

2013

Identifier

FSU_migr_csw_faculty_publications-0060, 10.1177/1049731513477691

Format

Citation

Title

Evaluating Journal Quality: Is the H-index a Better Measure than Impact Factors?.

Creator

Hodge, David R., Lacasse, Jeffrey R.

Abstract/Description

Objectives: This study evaluates the utility of a new measure—the h-index—that may provide a more valid approach to evaluating journal quality in the social work profession. Methods: H-index values are compared with Thomson ISI five-year impact factors and expert opinion. Results: As hypothesized, the h-index correlates highly with ISI five-year impact factors; but exhibits closer agreement with expert opinion, particularly with high familiarity disciplinary journals. Conclusions: This... Show moreObjectives: This study evaluates the utility of a new measure—the h-index—that may provide a more valid approach to evaluating journal quality in the social work profession. Methods: H-index values are compared with Thomson ISI five-year impact factors and expert opinion. Results: As hypothesized, the h-index correlates highly with ISI five-year impact factors; but exhibits closer agreement with expert opinion, particularly with high familiarity disciplinary journals. Conclusions: This evidence of convergent and discriminatory validity suggests that the h-index may have some utility in assessing social work journals. Notable advantages of the h-index include its compatibility with the profession's applied research culture and its ability to be used with essentially all journals in which social workers publish. Show less

Date Issued

2011

Identifier

FSU_migr_csw_faculty_publications-0038

Format

Citation

Title

Evaluating the Productivity of Social Work Scholars Using the H-index.

Creator

Lacasse, Jeffrey R., Hodge, David R., Bean, Kristen

Abstract/Description

Objectives: This article reports the first estimated h-index values for social work faculty. Methods: Multiple raters blindly assessed two samples of faculty (1) tenure-track faculty at institutions listed in the U.S. News and World Report top 10 (n=337) and (2) tenure track editorial board members of 5 highly ranked social work journals (n=215). Results: Intraclass correlation coefficients for h-index values among the multiple raters ranged from .83 to .92, indicating good reliability. For... Show moreObjectives: This article reports the first estimated h-index values for social work faculty. Methods: Multiple raters blindly assessed two samples of faculty (1) tenure-track faculty at institutions listed in the U.S. News and World Report top 10 (n=337) and (2) tenure track editorial board members of 5 highly ranked social work journals (n=215). Results: Intraclass correlation coefficients for h-index values among the multiple raters ranged from .83 to .92, indicating good reliability. For faculty at top 10 institutions, mean estimated h-index values were 3.97 (SD=2.87) for assistant professors; 8.59 (SD=3.72) for associate professors; and 16.14 (SD=8.35) for full professors. Values for editorial board members were generally similar. Conclusions: These are the first such published data; further research is needed. Show less

Date Issued

2011

Identifier

FSU_migr_csw_faculty_publications-0040, 10.1177/1049731511405069

Format

Citation

Title

Ghostwriting.

Creator

Leo, Jonathan, Lacasse, Jeffrey R.

Date Issued

2014

Identifier

FSU_migr_csw_faculty_publications-0078

Format

Citation

Title

Influential Publications in Social Work Discourse: The 100 Most Highly Cited Articles in Disciplinary Journals: 2000-2009.

Creator

Hodge, David R., Lacasse, Jeffrey R., Benson, Odessa

Abstract/Description

Examinations of highly cited articles are common in professions such as medicine as a way to enhance professional self-reflection. Yet, little research has examined influential articles in social work. In light of the emergence of a distinct disciplinary knowledge base over the past few decades, this study identifies the 100 most cited articles in disciplinary social work journals (N = 79) published during 2000-2009. Analysis revealed twelve citation classics spanning a relatively diverse... Show moreExaminations of highly cited articles are common in professions such as medicine as a way to enhance professional self-reflection. Yet, little research has examined influential articles in social work. In light of the emergence of a distinct disciplinary knowledge base over the past few decades, this study identifies the 100 most cited articles in disciplinary social work journals (N = 79) published during 2000-2009. Analysis revealed twelve citation classics spanning a relatively diverse array of subjects. Among the various topics that appeared among the 100 most cited articles, the results suggest that evidence-based practice/social work research plays a particularly important role in professional discourse. Also notable is the fact that some two-thirds of the most highly cited articles were published in just four journals. Show less

Date Issued

2012

Identifier

FSU_migr_csw_faculty_publications-0039

Format

Citation

Title

Is There a Getting Better from This, or Not?: Examining the Meaning and Possibility of Recovery from Mental Disorder.

The concept of "recovery" from mental disorder is widely used in the national conversation about youth and adult mental health treatment as if everyone is on the same page about what it means. Fundamental disagreements among researchers and practitioners exist, however, on a variety of issues related to the precise nature and meaning of recovery from mental, emotional and behavioral disorder generally. Among these issues are: 1. The meaning of recovery; 2. The possibility of full recovery; 3.... Show moreThe concept of "recovery" from mental disorder is widely used in the national conversation about youth and adult mental health treatment as if everyone is on the same page about what it means. Fundamental disagreements among researchers and practitioners exist, however, on a variety of issues related to the precise nature and meaning of recovery from mental, emotional and behavioral disorder generally. Among these issues are: 1. The meaning of recovery; 2. The possibility of full recovery; 3. Effective support for recovery. After reviewing diverging responses for each issue, we then trace practical implications of competing interpretations for treatment and recovery itself. As demonstrated throughout, the stance taken on these questions can have profound and life-long consequences for youth and children in treatment. Show less

Date Issued

2014

Identifier

FSU_migr_csw_faculty_publications-0071, 10.1080/0145935X.2014.924344

Format

Citation

Title

Knowledge of Ghostwriting and Financial Conflicts-of-Interest Reduces the Perceived Credibility of Biomedical Research.

Creator

Lacasse, Jeffrey R., Leo, Jonathan

Abstract/Description

Background: While the impact of conflicts-of-interest (COI) is of increasing concern in academic medicine, there is little research on the reaction of practicing clinicians to the disclosure of such conflicts. We developed two research vignettes presenting a fictional antidepressant medication study, one in which the principal investigator had no COI and another in which there were multiple COI disclosed. We confirmed the face validity of the COI vignette through consultation with experts.... Show moreBackground: While the impact of conflicts-of-interest (COI) is of increasing concern in academic medicine, there is little research on the reaction of practicing clinicians to the disclosure of such conflicts. We developed two research vignettes presenting a fictional antidepressant medication study, one in which the principal investigator had no COI and another in which there were multiple COI disclosed. We confirmed the face validity of the COI vignette through consultation with experts. Hospital-based clinicians were randomly assigned to read one of these two vignettes and then administered a credibility scale. Findings: Perceived credibility ratings were much lower in the COI group, with a difference of 11.00 points (31.42%) on the credibility scale total as calculated through the Mann-Whitney U test (95% CI = 6.99 - 15.00, p < .001). Clinicians in the COI group were also less likely to recommend the antidepressant medication discussed in the vignette (Odds Ratio = 0.163, 95% CI = .03 = 0.875). Conclusions: In this study, increased disclosure of COI resulted in lower credibility ratings. Show less

Background: There is much concern regarding undisclosed corporate authorship ("ghostwriting") in the peer-reviewed medical literature. However, there are no studies of how disclosure of ghostwriting alone impacts the perceived credibility of research results. Findings: We conducted a randomized vignette study with experienced nurses (n = 67), using a fictional study of antidepressant medication. The vignette described a randomized controlled trial and gave efficacy and adverse effect rates.... Show moreBackground: There is much concern regarding undisclosed corporate authorship ("ghostwriting") in the peer-reviewed medical literature. However, there are no studies of how disclosure of ghostwriting alone impacts the perceived credibility of research results. Findings: We conducted a randomized vignette study with experienced nurses (n = 67), using a fictional study of antidepressant medication. The vignette described a randomized controlled trial and gave efficacy and adverse effect rates. Participants were randomly assigned to one of two authorship conditions, either (a) traditional authorship (n = 35) or (b) ghostwritten paper (n = 32), and then completed a perceived credibility scale. Our primary hypothesis was that the median perceived credibility score total would be lower in the group assigned to the ghostwritten paper. Our secondary hypotheses were that participants randomized to the ghostwritten condition would be less likely to (a) recommend the medication, and (b) want the psychiatrist in the vignette as their own clinician. We also asked respondents to estimate efficacy and adverse effect rates for the medication. There was a statistically significant difference in perceived credibility among those assigned to the ghostwriting condition. This amounted to a difference of 9.0 points on the 35-point perceived credibility scale as tested through the Mann—Whitney U test. There was no statistically significant difference between groups in terms of recommending the medication, wanting the featured clinician as their own, or in estimates of efficacy or adverse effects (p > .05 for all such comparisons). Conclusion: In this study, disclosure of ghostwriting resulted in lower perceived credibility ratings. Show less

Date Issued

2012

Identifier

FSU_migr_csw_faculty_publications-0051

Format

Citation

Title

Making Assessment Decisions: Macro, Mezzo, and Micro Perspectives.

Creator

Lacasse, Jeffrey R., Gambrill, Eileen D.

Date Issued

2015

Identifier

FSU_migr_csw_faculty_publications-0080

Format

Citation

Title

The Manipulation of Data and Attitudes about ADHD: A Study of Consumer Advertisements.

Creator

Leo, Jonathan, Lacasse, Jeffrey R.

Date Issued

2009

Identifier

FSU_migr_csw_faculty_publications-0067

Format

Citation

Title

Measuring the Impact of Child and Adolescent Social Work Journal.

Creator

Lacasse, Jeffrey R., Schelbe, Lisa, Thyer, Bruce A.

Date Issued

2015

Identifier

FSU_migr_csw_faculty_publications-0085, 10.1007/s10560-015-0416-2

Format

Citation

Title

The Media and the Chemical Imbalance Theory of Depression.

Creator

Leo, Jonathan, Lacasse, Jeffrey R.

Abstract/Description

The cause of mental disorders such as depression remains unknown. However, the idea that neurotransmitter imbalances cause depression is vigorously promoted by pharmaceutical companies and the psychiatric profession at large. We examine media reports referring to this chemical imbalance theory and ask reporters for evidence supporting their claims. We then report and critique the scientific papers and other confirming evidence offered in response to our questions. Responses were received from... Show moreThe cause of mental disorders such as depression remains unknown. However, the idea that neurotransmitter imbalances cause depression is vigorously promoted by pharmaceutical companies and the psychiatric profession at large. We examine media reports referring to this chemical imbalance theory and ask reporters for evidence supporting their claims. We then report and critique the scientific papers and other confirming evidence offered in response to our questions. Responses were received from multiple sources, including practicing psychiatrists, clients, and a major pharmaceutical company. The evidence offered was not compelling, and several of the cited sources flatly stated that the proposed theory of serotonin imbalance was known to be incorrect. The media can play a positive role in mental health reporting by ensuring that the information reported is congruent with the peer-reviewed scientific literature. Show less

Date Issued

2008

Identifier

FSU_migr_csw_faculty_publications-0081, 10.1007/s12115-007-9047-3

Format

Citation

Title

Medical Ghostwriting: A University-Sanctioned Sleight of Hand?.

Creator

Leo, Jonathan, Lacasse, Jeffrey R.

Date Issued

2012

Identifier

FSU_migr_csw_faculty_publications-0082, 10.1007/s12115-012-9552-x

Format

Citation

Title

Mental Illness Beliefs Inventory (MIBI): A Preliminary Validation of a Measure of the Level of Belief in the Medical Model of Mental Illness.

Creator

Lewis, Steve J., Lacasse, Jeffrey R., Spaulding-Givens, Jennifer

Abstract/Description

The Mental Illness Beliefs Inventory (MIBI) measures the extent to which an individual subscribes to the medical model of mental illness. This paper reports the results of two preliminary validation studies. The first study establishes the initial psychometric properties for the MIBI, based on a sample of 222 students in the helping professions; the second study tests the model established in the first study with an additional 270 students. The MIBI performs well as a composite instrument... Show moreThe Mental Illness Beliefs Inventory (MIBI) measures the extent to which an individual subscribes to the medical model of mental illness. This paper reports the results of two preliminary validation studies. The first study establishes the initial psychometric properties for the MIBI, based on a sample of 222 students in the helping professions; the second study tests the model established in the first study with an additional 270 students. The MIBI performs well as a composite instrument measuring belief in the medical model of mental illness. This instrument shows promise for examining the extent to which individual beliefs affect mental health practice. Show less

Date Issued

2010

Identifier

FSU_migr_csw_faculty_publications-0068, 10.1891/1559-4343.12.1.30

Format

Citation

Title

Narrating the Brain: Investigating Contrasting Portrayals of the Embodiment of Mental Disorder.

Public conversation about biological contributors to mental disorder often centers on whether the problem is "biological or not." In this paper, we propose moving beyond this bifurcation to a very different question: how exactly are these problems understood to be biological? Specifically, we consider four issues around which different interpretations of the body's relationship to mental disorder exist: 1. The body's relationship to day-to-day action; 2. The extent to which the body is... Show morePublic conversation about biological contributors to mental disorder often centers on whether the problem is "biological or not." In this paper, we propose moving beyond this bifurcation to a very different question: how exactly are these problems understood to be biological? Specifically, we consider four issues around which different interpretations of the body's relationship to mental disorder exist: 1. The body's relationship to day-to-day action; 2. The extent to which the body is changeable; 3. The body's relationship to context; 4. The degree to which states of the body directly cause mental disorder. Drawing on the work of Merleau-Ponty and other phenomenologists, we examine different responses to these questions and associated implications for how mental health treatment and recovery come to be experienced. Finally, we consider broader questions these patterns raise, including why certain portrayals of the brain dominate public attention and how to foster more deliberation in this regard. Show less

Date Issued

2014

Identifier

FSU_migr_csw_faculty_publications-0053, 10.1163/15691624-12341276

Format

Citation

Title

A National Survey of Graduate Education in Psychopharmacology: Advancing the Social Work Perspective on Psychiatric Medication.

Creator

Hughes, Shannon, Narendorf, Sarah, Lacasse, Jeffrey R.

Abstract/Description

Social workers' unique skills and professional perspective can contribute to improved practices in psychopharmacology, yet it is unclear how social work programs prepare students for this area of practice. This study examined instruction of psychopharmacology through a national web-based survey of MSW program directors and instructors of psychopharmacology content (n=171). Nearly two-thirds (63.7%) reported their program integrates psychopharmacology usually into one or two existing courses,... Show moreSocial workers' unique skills and professional perspective can contribute to improved practices in psychopharmacology, yet it is unclear how social work programs prepare students for this area of practice. This study examined instruction of psychopharmacology through a national web-based survey of MSW program directors and instructors of psychopharmacology content (n=171). Nearly two-thirds (63.7%) reported their program integrates psychopharmacology usually into one or two existing courses, while 20.5% indicated their program offers a standalone course. Lack of faculty expertise and having no room in the current curriculum structure were identified as the top barriers for programs not offering any psychopharmacology content. The profession's critical, social justice, empowerment, client-centered, systems perspective appears to ground the teaching of psychopharmacology in social work programs. Show less

Date Issued

2016

Identifier

FSU_migr_csw_faculty_publications-0086

Format

Citation

Title

The New York Times and the ADHD Epidemic.

Creator

Leo, Jonathan, Lacasse, Jeffrey R.

Date Issued

2015

Identifier

FSU_migr_csw_faculty_publications-0047, 10.1007/s12115-014-9851-5

Format

Citation

Title

Overdiagnosis.

Creator

Lacasse, Jeffrey R., Leo, Jonathan

Date Issued

2014

Identifier

FSU_migr_csw_faculty_publications-0063

Format

Citation

Title

A Parent's TEARS: Primary Results from the Traumatic Experiences and Resiliency Study.

This study examined health/mental health status, family functioning, and resiliency among a sample of bereaved parents (N = 503). Participants were recruited from an on-line support community to complete an on-line survey instrument (response rate = 51.75%). The questionnaire contained an array of self-report instruments, such as the Hopkins Symptoms Checklist-25 (HSCL-25), the Impact of Event Scale-Revised (IES-R), and the Family Assessment Device (FAD), as well as open-ended questions. Many... Show moreThis study examined health/mental health status, family functioning, and resiliency among a sample of bereaved parents (N = 503). Participants were recruited from an on-line support community to complete an on-line survey instrument (response rate = 51.75%). The questionnaire contained an array of self-report instruments, such as the Hopkins Symptoms Checklist-25 (HSCL-25), the Impact of Event Scale-Revised (IES-R), and the Family Assessment Device (FAD), as well as open-ended questions. Many respondents scored over the clinical cut-off for the HSCL-25 (51.3%, n = 258) and IES-R (42.3%, n = 213). IES-R scores were negatively correlated with years-since loss (r = -0.24, p < .05). In narrative responses, participants described a wide range of deeply impactful mental and physical health problems. The results indicate significant clinical distress in this sample of bereaved parents, with many reporting enduring psychological, familial, and health consequences following the of a child. Show less

Date Issued

2014

Identifier

FSU_migr_csw_faculty_publications-0069, 10.2190/OM.68.3.a

Format

Citation

Title

Prescribing of Psychiatric Medication to Bereaved Parents Following Perinatal/Neonatal Death: An Observational Study.

Creator

Lacasse, Jeffrey R., Cacciatore, Joanne

Abstract/Description

To examine psychiatric prescribing in response to perinatal/neonatal death, we analyzed data from a cross-sectional survey of 235 bereaved parents participating in an on-line support community. Of the 88 respondents prescribed medication, antidepressants were most common (n = 70, 79.5%) followed by benzodiazepines/sleep aids (n = 18, 20.5%). Many prescriptions were written shortly after the death (32.2% within 48 hours, 43.7% within a week, and 74.7% within a month). Obstetrician... Show moreTo examine psychiatric prescribing in response to perinatal/neonatal death, we analyzed data from a cross-sectional survey of 235 bereaved parents participating in an on-line support community. Of the 88 respondents prescribed medication, antidepressants were most common (n = 70, 79.5%) followed by benzodiazepines/sleep aids (n = 18, 20.5%). Many prescriptions were written shortly after the death (32.2% within 48 hours, 43.7% within a week, and 74.7% within a month). Obstetrician/gynecologists wrote most prescriptions given shortly after loss. Most respondents prescribed antidepressants took them long-term. This sample is select, but these data raise disturbing questions about prescribing practices for grieving parents. Show less

Date Issued

2014

Identifier

FSU_migr_csw_faculty_publications-0061, 10.1080/07481187.2013.820229

Format

Citation

Title

Proposing a Population-Specific Intervention Approach to Treat Trauma Among Men During and After Incarceration.

A significant treatment gap exists for incarcerated men with lifetime traumatic experiences. A small research base for trauma interventions for incarcerated women is emerging, but incarcerated men have largely been ignored. Men comprise 90% of the incarcerated population and are at the greatest risk to be re-arrested for a new crime after release. One of the most overlooked, but highly influential factors in poor post-release outcomes of formerly incarcerated men is unaddressed symptoms... Show moreA significant treatment gap exists for incarcerated men with lifetime traumatic experiences. A small research base for trauma interventions for incarcerated women is emerging, but incarcerated men have largely been ignored. Men comprise 90% of the incarcerated population and are at the greatest risk to be re-arrested for a new crime after release. One of the most overlooked, but highly influential factors in poor post-release outcomes of formerly incarcerated men is unaddressed symptoms resulting from lifetime traumatic experiences. Studies of incarcerated men report up to 98% have had at least one lifetime traumatic experience–many have experienced multiple traumas. With nearly 600,000 men releasing from incarceration each year, there is an urgent need to develop targeted interventions for incarcerated men. We aim to advance the field toward gender specific and incarceration responsive trauma intervention approaches. We build on existing empirically supported trauma treatment models and propose a phased intervention approach to trauma treatment that is responsive to the unique context of incarcerationof menand men’s reentry to communities. We offer an intervention approach to guide trauma treatment research and practice innovations. We build into the model key empirically supported treatment ingredients in a way that we propose is most sensitive to the stages of reentry (i.e., release from incarceration back to communities). We conclude with critical next steps needed to advance the practice and research of implementing transitional trauma treatment for incarcerated men nearing release. Keywords:Men; Incarceration; Reentry; Trauma; Intervention; Treatment; Prison Show less

Ranking Disciplinary Journals with the Google Scholar H-index: A New Tool for Constructing Cases for Tenure, Promotion, and Other Professional Decisions.

Creator

Hodge, David R., Lacasse, Jeffrey R.

Abstract/Description

Given the importance of journal rankings to tenure, promotion, and other professional decisions, this study examines a new method for ranking social work journals. The Google Scholar h-index correlated highly with the current "gold standard" for measuring journal quality, Thomson ISI impact factors, but provided data for over four times as many disciplinary journals. Eighty disciplinary periodicals are identified and ranked using the Google Scholar h-index. The vast majority of these were... Show moreGiven the importance of journal rankings to tenure, promotion, and other professional decisions, this study examines a new method for ranking social work journals. The Google Scholar h-index correlated highly with the current "gold standard" for measuring journal quality, Thomson ISI impact factors, but provided data for over four times as many disciplinary journals. Eighty disciplinary periodicals are identified and ranked using the Google Scholar h-index. The vast majority of these were ranked higher than the lowest ranked social work journal indexed by Thomson ISI. While the results hold salience for many professional stakeholders, they may be of particular interest to faculty who publish in disciplinary journals not indexed by Thomson ISI. The Google Scholar h-index provides faculty with an additional tool to document the quality of the venues in which they publish. Show less

This article subjects a randomized controlled trial published in the American Journal of Psychiatry to a methodological and statistical critique, including a re-analysis of the effect size statistics presented. The published trial tested the use of combination antidepressants (mirtazapine co-prescribed with either buproprion, venlafaxine, or fluxoetine) at treatment initiation as compared to fluoxetine monotherapy. The authors report that combination therapy was effective, with a number... Show moreThis article subjects a randomized controlled trial published in the American Journal of Psychiatry to a methodological and statistical critique, including a re-analysis of the effect size statistics presented. The published trial tested the use of combination antidepressants (mirtazapine co-prescribed with either buproprion, venlafaxine, or fluxoetine) at treatment initiation as compared to fluoxetine monotherapy. The authors report that combination therapy was effective, with a number-needed-to-treat statistic (NNT) of 3-5, a strong effect size. Close scrutiny of the methodology and clinical trial registration shows that 4 of 6 pre-registered outcomes were statistically non-significant, 1 outcome was not reported, and 1 unregistered outcome was published. The well-critiqued Hamilton Depression Inventory was the only positive outcome measure. Calculating confidence intervals for the reported NNT demonstrates substantial uncertainty (95% CI for NNT = 2.3 — 18.0). In an era of evidence-based psychiatric practice, there is insufficient evidence to recommend combination therapy at initiation of treatment. Show less

As youth near the transition to adulthood and aging out of the foster care system, exposure to stress increases, especially for youth who have less than adequate support systems. Although mental health problems among foster youth often continue into adulthood, service use decreases dramatically within a year of turning 18. Understanding how foster youth experience mental health services as they transition from care provides social workers and other mental health professionals important... Show moreAs youth near the transition to adulthood and aging out of the foster care system, exposure to stress increases, especially for youth who have less than adequate support systems. Although mental health problems among foster youth often continue into adulthood, service use decreases dramatically within a year of turning 18. Understanding how foster youth experience mental health services as they transition from care provides social workers and other mental health professionals important insight and specific, targetable strategies. This study sought to explore what situations were helpful in supporting mental health as foster youth transitioned to adulthood. Focus groups and interviews with former foster youth and professionals informed the development of a quantitative instrument, which was used to identify the most intense and frequently encountered situations former foster youth experienced. Findings indicate the most helpful situations were those in which professionals and mentors were responsive and flexible to their individual needs and trusted their ability to make decisions. Supportive adults who honored their choices and collaborated in decision-making were also helpful. Engaging, empowering, and partnering with transition-age youth from a strengths-based perspective may increase the likelihood of positive mental health outcomes for this population. Show less

Mental health services are provided to people diagnosed with mental disorders to foster rehabilitation by enhancing emotional and behavioral functioning. The purpose of this project was to understand from the perspective of service recipients what about services they found most helpful in facilitating the process of recovery. Using a sequential explanatory design, a quantitative screening tool was used to identify a criterion sample of people who were diagnosed with serious mental illness and... Show moreMental health services are provided to people diagnosed with mental disorders to foster rehabilitation by enhancing emotional and behavioral functioning. The purpose of this project was to understand from the perspective of service recipients what about services they found most helpful in facilitating the process of recovery. Using a sequential explanatory design, a quantitative screening tool was used to identify a criterion sample of people who were diagnosed with serious mental illness and reported they achieved functional recovery. A sample of 16 adults who met study criteria participated in qualitative interviews to understand what about mental health services they felt contributed to their recovery. Thematic analysis uncovered seven themes that emerged from their stories of service experiences describing both the content and process of services they found most beneficial. Although some descriptions of services were consistent with recovery-oriented practice principles, other illustrations contrasted the mandate put forth ten years ago by the New Freedom Commission on Mental Health (2003). Findings suggest more efforts should be made to evaluate the degree to which current mental health services adhere to practice principles that are strengths-based, person-centered, and offer a hopeful outlook regarding the possibility of recovery from mental disorders. Show less

Date Issued

2014

Identifier

FSU_migr_csw_faculty_publications-0052

Format

Citation

Title

The Role of Social Support in Family Reunification: A Qualitative Study.

Creator

Lietz, Cynthia A., Lacasse, Jeffrey R., Cacciatore, Joanne

Abstract/Description

When children are removed from their parents due to child maltreatment, the goal remains to reunite these families whenever possible. Although extensive research exists regarding barriers to reunification, little is known about the families who are successfully reunited. The aim of this study was to examine the strengths families found helpful in the process of achieving and maintaining reunification. In-depth, qualitative interviews were conducted with 15 reunified families. Thematic coding... Show moreWhen children are removed from their parents due to child maltreatment, the goal remains to reunite these families whenever possible. Although extensive research exists regarding barriers to reunification, little is known about the families who are successfully reunited. The aim of this study was to examine the strengths families found helpful in the process of achieving and maintaining reunification. In-depth, qualitative interviews were conducted with 15 reunified families. Thematic coding of these narrative interviews was completed uncovering the ways these families perceived intra-familial and external social support that was both given and received played an important role in their stories of reunification. Show less

Date Issued

2011

Identifier

FSU_migr_csw_faculty_publications-0075, 10.1080/10522158.2011.531454

Format

Citation

Title

Truthiness in Direct-to-Consumer Advertising.

Creator

Lacasse, Jeffrey R., Leo, Jonathan

Abstract/Description

Dr. Frosch and colleagues' research provides important counterevidence to the pharmaceutical industry's claim that consumer advertising has educational value [1]. We would like to suggest an additional point which will strengthen their conclusions. Zoloft advertisements (one of the data points captured in their analysis) claim that various mental disorders are caused by a lack of serotonin and that this putative imbalance is remedied by Zoloft. However, these claims are contradicted by a... Show moreDr. Frosch and colleagues' research provides important counterevidence to the pharmaceutical industry's claim that consumer advertising has educational value [1]. We would like to suggest an additional point which will strengthen their conclusions. Zoloft advertisements (one of the data points captured in their analysis) claim that various mental disorders are caused by a lack of serotonin and that this putative imbalance is remedied by Zoloft. However, these claims are contradicted by a large body of empirical evidence and we have argued that they are misleading and incongruent with FDA labeling (2). Providing metaphorical or theoretical explanations as factual will likely increase the sales of Zoloft, but it will not provide consumers with educational content. Thus, future studies should address not only the type of appeal made to consumers, but also the veracity of the information provided. References 1. Bonaccorso SN, Sturchio JL. For and against: Direct to consumer advertising is medicalising normal human experience: Against. BMJ. 2002 Apr 13;324(7342):910-1.Click here to read 2. Lacasse JR, Leo J. Serotonin and Depression: A Disconnect between the Advertisements and the Scientific Literature. PLoS Medicine Vol. 2, No. 12, e392 doi:10.1371/journal.pmed.0020392. Show less

Date Issued

2007

Identifier

FSU_migr_csw_faculty_publications-0049

Format

Citation

Title

What Does It Mean for an Intervention to "Work"?: Making Sense of Conflicting Treatment Outcomes for Youth Facing Emotional Problems.

Creator

Hess, Jacob (Jacob Z.), Lacasse, Jeffrey R.

Abstract/Description

As public and professional attention to outcome and evaluation research grows, focus remains centered on the question, Does this treatment work or not? Consequently, much less emphasis is given to what exactly it means for a treatment to work or be effective. This article examines five issues relevant to whether an intervention is deemed successful or not: (a) Sponsorship: Who generates the empirical evidence? (b) Sensitivity: How deep does the evidence gathering go? (c) Scope: Over what time... Show moreAs public and professional attention to outcome and evaluation research grows, focus remains centered on the question, Does this treatment work or not? Consequently, much less emphasis is given to what exactly it means for a treatment to work or be effective. This article examines five issues relevant to whether an intervention is deemed successful or not: (a) Sponsorship: Who generates the empirical evidence? (b) Sensitivity: How deep does the evidence gathering go? (c) Scope: Over what time period does the evidence span? (d) Source: According to which data is a determination reached? (e) Balance: How seriously are negative cases examined?. After exploring each issue, larger implications for youth treatment are discussed. Ultimately, we propose that current trends warrant more thoughtful deliberation and education among citizens and practitioners about treatment outcomes generally. Show less

Date Issued

2011

Identifier

FSU_migr_csw_faculty_publications-0062, 10.1606/1044-3894.4138

Format

Citation

Title

Why Does Academic Medicine Allow Ghostwriting?: A Prescription for Reform.